| Ravin Jayatissa, MD | |
|
730 Oakridge Blvd, Lumberton, NC 28358-2324 | |
| (910) 738-2662 | |
| Not Available |
| Full Name | Ravin Jayatissa |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 730 Oakridge Blvd, Lumberton, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235703471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34109 (West Virginia) | Secondary |
| 208M00000X | Hospitalist | 34109 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charleston Area Medical Center Inc | 3375441637 | 969 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Ravin Jayatissa, MD 3100 Maccorkle Ave Se Ste B-16, Charleston, WV 25304-1223 Ph: (304) 388-5848 | Ravin Jayatissa, MD 730 Oakridge Blvd, Lumberton, NC 28358-2324 Ph: (910) 738-2662 |
Baraa S A Baraawi, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 395 W 27th St, Lumberton, NC 28358 Phone: 910-739-7551 | |
Farai Mutongwizo, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 395 W 27th St, Lumberton, NC 28358 Phone: 910-739-7551 Fax: 910-739-2332 | |
Valentina Natalie Saracino, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 |